Boyd Nursing and Rehabilitation recently had the pleasure of caring for Mrs. Linda Leforrest. This was not the first time that Linda had come to Boyd Nursing for rehabilitation, as she had visited us a few years ago with successful results and therefore chose to come to us again for her rehab needs.

This time was a little different, and perhaps more challenging because she was recovering from an extended and complicated hospital stay due to COVID-19 and pneumonia. Linda, with her vigorous personality, proved how strong she was by regaining the mobility and independence that she lost during that extensive hospitalization. Linda says that she is ready to return home to her little dog, Ruby, and get back to enjoying shopping and going out to eat with her daughters and granddaughters. We wish you the best return home and know that you are always welcome back to our home when you need us. Congratulations to Linda and her Care Team on their success!

Diagnostic Testing

Diagnostic testing is intended to identify current infection in individuals and should be performed on anyone that has signs and symptoms consistent with COVID-19 and/or following recent known or suspected exposure to SARS-CoV-2.

Examples of diagnostic testing include:

• Testing anyone with symptoms consistent with COVID-19
• Testing vaccinated and unvaccinated people who were exposed to someone with a confirmed or suspected case of COVID-19

Screening Testing

Screening tests are intended to identify people with COVID-19 who are asymptomatic and do not have known, suspected, or reported exposure to SARS-CoV-2. Screening helps to identify unknown cases so that measures can be taken to prevent further transmission.

Examples of screening include testing:

• Employees in a workplace setting
• Students, faculty, and staff in a school setting
• A person before or after travel
• Someone at home who does not have symptoms associated with COVID-19 and no known exposures to someone with COVID-19

Public Health Surveillance Testing

Public health surveillance is the ongoing, systematic collection, analysis, and interpretation of health-related data essential to the planning, implementation, and evaluation of public health practice. See CDC’s Introduction to Public Health Surveillance.

Public health surveillance testing is intended to monitor community- or population-level outbreaks of disease, or to characterize the incidence and prevalence of disease. Surveillance testing is performed on de-identified specimens, and thus, results are not linked to individual people. Public health surveillance testing results cannot be used for individual decision-making.

Public health surveillance testing may sample a certain percentage of a specific population to monitor for increasing or decreasing prevalence, or to determine the population effect from community interventions such as social distancing. An example of public health surveillance testing is when a state public health department develops a plan to randomly select and sample a percentage of all people in a city on a rolling basis to assess local infection rates and trends.

Regulatory Requirements for Diagnostic, Screening, and Public Health Surveillance Testing

Any laboratory or testing site that performs diagnostic or screening testing must have a Clinical Laboratory Improvement Amendments (CLIA) certificate and meet all applicable CLIA requirements. For more information, see the Centers for Medicare & Medicaid Services CLIA websiteexternal icon. Tests used for SARS-CoV-2 diagnostic or screening testing must have received an Emergency Use Authorization from the U.S. Food and Drug Administration (FDA) or be offered under the policies in FDA’s Policy for COVID-19 Testsexternal icon.

Tests used for SARS-CoV-2 public health surveillance on de-identified human specimens do not need to meet FDA and CLIA requirements for diagnostic and screening testing.

Reporting Diagnostic, Screening, and Public Health Surveillance Testing Results

Both diagnostic and screening testing results should be reported to the people whose specimens were tested and/or to their healthcare providers.

In addition, laboratories that perform diagnostic and screening testing must report positive diagnostic and screening test results to the local, state, tribal, or territory health department in accordance with Public Law 116-136, § 18115(a), the Coronavirus Aid, Relief, and Economic Security (CARES) Act. As of April 4, 2022, laboratories are no longer required to report negative results for non-NAAT tests (rapid or antigen test results). The Department of Health and Human Services published guidance on COVID-19 Pandemic Response, Laboratory Data Reporting: CARES Act Section 18115pdf iconexternal icon that specifies what data, in addition to test results, laboratories and testing sites should collect and electronically report.

Public health surveillance testing results cannot be reported directly to the people whose specimens have been tested and are not reported to their healthcare providers. Public health surveillance testing results (test results that are de-identified) can be reported in aggregate to local, state, tribal, or territory health departments upon request. Results from testing that is performed outside of a CLIA-certified facility or without an FDA-authorized test can only be reported to a health department if those results are used strictly for public health surveillance purposes, and not used for individual decision making.

Summary of Testing for COVID-19

	Diagnostic	Screening	Public Health Surveillance
Symptomatic	Yes	No	N/A
Unvaccinated or vaccinated with known or suspected exposure	Yes	No	N/A
Unvaccinated and Asymptomatic without Known or Reported Suspected Exposure	No	Yes	N/A
Characterize Incidence and Prevalence in the Community	N/A	N/A	Yes
Testing of Personally Identifiable Specimens	Yes	Yes	No
Results may be Returned to Individuals	Yes	Yes	No
Results Returned in Aggregate to Requesting Institution	No	No	Yes
Results Reported to State Public Health Departments	Yes	Yes	If requested
Testing can be Performed in CLIA-Certified Laboratory	Yes	Yes	Yes
Testing can be Performed in a Non-CLIA-Certified Laboratory	No	No	Yes
Test System Must be FDA Authorized or be Offered under the Policies in FDA’s Guidance	Yes	Yes	No

To learn more, please visit https://www.cdc.gov/coronavirus/2019-ncov/lab/resources/sars-cov2-testing-strategies.html

Boyd Nursing and Rehabilitation would like to recognize Ms. Rita Deerfield as our most recent Success Story!
Mrs. Deerfield was admitted to Boyd Nursing in September 2021 for rehab. She presented to us with a compromised health status, which required multiple re-hospitalizations over the course of the following months. As a result, she experienced significant balance and mobility deficits, decreased strength, and required extensive assistance with completing self care activities. With the help of physical and occupational therapy services, Mrs. Deerfield learned compensatory strategies and adaptive techniques throughout her rehabilitation process in order to regain her mobility and ability to perform her self-care to return to home. Congratulations Mrs. Deerfield, we are very proud of your progress and happy to have assisted you along the way!

Boyd Nursing and Rehabilitation would like to take to opportunity to share the successful recovery of our patient, Mrs. Loma Griffith.

Mrs. Griffith came to Boyd Nursing for rehabilitation following a fall in which she sustained a hip fracture. Loma’s injury was compounded by a dx of COVID 19 to further complicate her recovery. This was a difficult challenge to overcome. However, being the energetic and outgoing person that she is, Loma proved herself willful to return home. Upon coming to Boyd, Loma presented with a host of complications and underlying impairments including weakness, impaired mobility, and difficulty caring for herself. Over the course of her short rehab stay, Loma actively worked with her rehab team of Physical and Occupational Therapists, as well as our skilled nursing and dietary professionals to regain her strength and mobility in order to restore her to her prior level of function and independent living. Mrs. Griffith has been blessed with several children and grandchildren to love and support her throughout her recovery and are anxiously awaiting her return home. Mrs. Loma, it has truly been a pleasure to help you along this journey! All of us here at Boyd Nursing and Rehab wish you the best.

Boyd Nursing and Rehabilitation is proud to recognize resident Freemont Broughman’s Success Story!

Mr. Freemont Broughman was admitted to Boyd Nursing in late November following complications from COVID-19. He presented to our community with generalized weakness, balance deficits and poor activity tolerance, which led to a need for significant assistance with mobility and self care. During his stay, Mr. Broughman consistently participated in physical and occupational therapy, where he immediately demonstrated his willingness and determination to work hard and regain his prior level of function. Freemont began to show improvements in all aspects of his therapy and was soon able to transfer and ambulate over 100 feet at a contact guard assist level. With his continued hard work and  perseverance, Mr. Broughman is now able to return home with the help of his family. Congratulations to Mr. Broughman and his Care Team on their success!

Boyd Nursing & Rehabilitation is proud to recognize Danny Chapman’s Success Story!

Mr. Danny Chapman was admitted to Boyd Nursing for rehabilitation in October, following complications of a respiratory failure and discharge from Hospice care. Upon admission, Mr. Chapman presented with decreased strength and activity tolerance, balance deficits and immobility, and required extensive assistance with his activities of daily living. Given the complexity of his situation, Mr. Chapman required medication management, lab monitoring, physical therapy, occupational therapy, and speech therapy services in order to restore him to a level to return home with the support of his loving wife.

Despite all the obstacles, this did not damper Mr. Chapman’s will to return home to his family. He worked diligently to overcome what seemed impossible at the start of his recovery. With the help of his physical, occupational, and speech therapists, Danny regained his strength and mobility to perform transfers and ambulation. He also regained his ability to perform self-care activities. This improvement enabled him to return home with his family. Congratulations, Mr. Chapman! We are so happy to have been able to assist you during your recovery.

Boyd Nursing & Rehabilitation is proud to recognize Wilma Penix’s Success Story.

Wilma came to Boyd Nursing at the end of September for a short rehab stay to regain her strength and independence. After a hospital stay for the progression of her kidney disease and coronary artery disease, Mrs. Penix was unable to care for herself safely at home. She demonstrated strength deficits and balance concerns, leading to an increased risk of falls. During her stay, she worked hard in physical and occupational therapy and was always smiling and laughing throughout her treatments.

Mrs. Wilma was able to regain her strength and her ability to ambulate more than 200ft using her case. She was ecstatic to be able to discharge home, with the help of her son! Congratulations, Mrs. Wilma, we are so excited to have been part of your success!

Boyd Nursing & Rehabilitation is proud to recognize Jennie Royster’s Success Story.

Mrs. Jennie Royster was admitted in July after being in the hospital for a right shoulder fracture she sustained from a fall. She was unable to return home from the hospital, as she demonstrated deficits in balance and strength, leading to an inability to care for herself safely. Mrs. Royster participated in all three therapy disciplines: physical, occupational, and speech therapies. While in the therapy gym, she worked hard, always trying to do just a little more than what was asked of her. She often encouraged her new friends during their exercises.

Due to her dedication and strong willingness throughout her treatment sessions, Mrs. Jennie made great improvements in all aspects of her mobility! She was able to ambulate over 250ft using her rollator and perform her daily self-care at a supervised level. We were thrilled that, with the support of her daughters, Mrs. Royster was able to return home! Congratulations, Mrs. Jennie, we are so happy to have been part of your success!

Boyd Nursing and Rehabilitation would like to recognize Mr. Mark Oney as our most recent patient Success Story.

Mark was admitted in May 2021 after being in the hospital for LE cellulitis. He presented to us with a compromised health status, as he demonstrated deficits in balance and strength, which lead to a need for increased assistance with mobility and self care. Mr. Oney has become an eager therapy participant in both physical and occupational therapy during his stay. He has shown great improvement in all aspects of his mobility, even winning gold in many events during our “Rehab Olympics”! Mark is now able to walk about the facility unassisted and often visits many of his friends here throughout the day.

We are thrilled to have been part of such an amazing rehabilitation story and are so proud of Mark for all that he has been able to accomplish!

Boyd Nursing and Rehabilitation would like to personally recognize Mrs. Mary Pinkerton as our most recent patient success story!

Mrs. Pinkerton was admitted to Boyd Nursing for rehab in May 2021 after sustaining a R humerus fracture. Mary presented to us with a compromised health status, as she was experiencing significant balance and mobility deficits, decreased strength, and was requiring extensive assistance with completing selfcare activities. 

Mrs. Pinkerton actively engaged in physical and occupational therapy services to learn compensatory strategies to regain her mobility and ability to perform activities of daily living in order to return to community living.  After 4 weeks of rehab and continual nursing services, Mary improved her ability to walk over 100 feet with an adaptive device and to perform her selfcare with CGA! With the support of her loving family, Mary was able to return home. Congratulations Mrs. Pinkerton, we are very proud of your progress and happy to have assisted you along the way!